Association of Plastic Surgeons of India

Curriculum

For
Magister Chirurgiae (M. Ch.)
&
Diplomate of National Board (D.N.B.)

In

Plastic, Reconstructive and Aesthetic Surgery

Prepared by:

APSI Committeefor Formulating Uniform Curriculum

2017

Uniform curriculum in Plastic Surgery 1

 APSI Committee for Formulating Uniform Curriculum
Draft &Coordinator:
Dr Dinesh Kadam
President:
Dr Karoon Agrawal
Hon. Secretary:
Dr. Parag Sahasrabudhe

Members:
Dr.Rajeev B. Ahuja
Dr Atul Parashar
Dr. Vinita Puri
Dr. R. Shrikant

Association of Plastic Surgeons of India

Executive Council-2017
President: Dr Subramania Iyer
Vice President: Dr Surajit Bhattacharya; Immediate Past President: Dr. Karoon Agrawal
Hon. Secretary: Dr. Parag Sahasrabudhe ; Hon. Treasurer: Dr. Shailesh Ranade
Editor: Mukund Jagannathan

Executive Members

Dr. Jiten Kulkarni ,Dr. Manoj Khanna, Dr. Atul Parashar

Dr. Vinita Puri, Dr Dinesh Kadam, Dr. R. Murgesan
Dr. Arun Kumar Choudhury, Dr. Vinay Kumar Tiwari, Dr. Rajkumar Mishra

Trustees

Chairman : Dr. Suresh Gupta

Executive Trustee : Dr. R. B. Ahuja

Members:
Dr. Mukund Thatte ,Dr. D. Mukunda Reddy, Dr. V. Bhattacharya.

Uniform curriculum in Plastic Surgery 2

 Magister Chirurgiae (M. Ch.)
&
Diplomate of National Board (D.N.B.)

Introduction:

M. Ch. Plastic surgery exists in various universities of India with different course names such as
Plastic Surgery and Plastic and Reconstructive Surgery. The curriculum also varies with
each university. The objective of this proposal:
1. To propose a uniform curriculumfor plastic surgery trainingcourses (M.Ch. and D.N.B.)to
the Universities, Medical Council of India, National Board of Examinations and the
Govt.Of India
2. To update existing curriculum to eliminate deficiencies in the training.
3. To propose a change in the name of the specialty to Plastic, Reconstructive and
Aesthetic Surgery.

Eligibility:
A candidate seeking admission tothe Plastic Surgery degree course must possessrecognized
degree of MS (or its equivalent recognized degree) in the subject specified in the regulations of
the Medical Council of India from time to time.

The objectives of M.Ch./ DNB course

1. To acquire the competencies pertaining to all areas of plastic surgery that are required to
be practiced in the community and at all levels of health care system.

2. To train in 8 essential Core areas of plastic surgery.The training should provide sufficient
scientific knowledge and skills. They include (in alphabetical order):

1. Aesthetic Surgery & Medicine,

2. Burns

3. Brachial plexus & Peripheral nerve surgery

4. Hand Surgery

5. Maxillofacial surgery& Craniofacial Surgery including Cleft surgery

Uniform curriculum in Plastic Surgery 3

 6. Microvascular &Peripheral vascular surgery

7. Reconstructive surgery

8. Urogenital surgery, external genitalia & intersex

3. The training of essential core areas may be obtained, in addition to the parent unit, from
different units by rotation. This is subject to the discretion of the Head of the department
within the regulations of the institution. The rotation period shall not exceed 6 months.
4. To acquire skills in effective communication with different specialities and provide inter-
speciality services.
5. To acquire skills in effective communication with patients, family and the community;
6. To acquire skills in educating medical and paramedical professionals.

7. To be updated on contemporary advances and developments in plastic surgery

8. To be able to understand research methodology, ethics, critical analysis, statistical
methods and be able to conduct independent research.
9. To acquire skills ofwriting a scientific manuscript for peer reviewed publications and
analyze evidence based literature.
10. To be updated with Record keeping, medicolegal knowledge, consumer protection law,
consent and other contentious issues of rights of patients and consumer.

The Teaching modules

The teaching and training module involves :

1. Theoretical knowledge- The syllabus

2. Skill development :Clinical

3. Skill development: Operative
4. Academic activities: Activities of learning & Effective communication

5. Researchmethodology
6. Teaching skills
7. Personal attributes

8. Monitoring learning activities

Uniform curriculum in Plastic Surgery 4

 1. The Syllabus for M.Ch./ D.N.B.

General Principles, basic sciences.

History of Plastic Surgery

History and development of plastic surgery in India and across the world
The scope of plastic surgery
Research methodology and Research in plastic surgery
Medico legal issues in plastic surgery practice
Liability issues in plastic surgery, legal&insurance perspective.
Documentation, Record keeping and consent.
Patient safety issues in plastic surgery
Psychological aspect of plastic surgery
Ethics
Photography in plastic surgery
Training modules for Plastic surgery trainees

Technology applications:

Technological innovations
Laser and energy device applications
Tissue expansion- principles and application
Distraction Histogenesis
Endoscopy in Plastic Surgery
Robotics and simulations
Telemedicine
Implants and Biomaterials
Transplantation
Regenerative medicine, Tissue engineering, cell therapy &stem cells
Foetal surgery
Information Technology for Plastic surgeon

Basic principles and techniques:

Wound : Definition, classification and implications.

Wound healing-normal and abnormal.

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 Wound management, - Mechanical and pharmacological; dressing techniques
Scar biology and management
Keloid, hypertrophic scars- prevention and management
Unstable scar and scar contracture.
Anatomy and functions of skin.
Skin grafts.
Blood supply to skin, cutaneous circulation and basis of flaps.
FLAPS: General indications, principles and technique of flap planning, designing and
application.; Classification of flaps;Local skin flaps.;Pedicled skin flaps.;Muscle flaps,
osseous flaps, free flaps ;Cutaneous flaps- perforator flaps, free style perforator flaps,
Keystone flaps,chimeric flaps, flow-through flaps etc.
Grafts fat, fascia, tendon, nerve, cartilage, bone.
Infective conditions of skin.
Hospital infections.
Suture materials.
Surgical instruments.
Principles of genetics and general approach to the management of congenital
malformations.
Local anaesthesia, nerve blocks, regional anaesthesia.
Principles of anaesthesia for infants, adults, hypothermia, hypotensive anaesthesia.
Pain management
Transplant Biology

Maxillofacial and Craniofacial Surgery

General

Embryology and anatomy of craniofacial complex.

Growth and development changes in face, anatomy of facial skeleton.
Structure and development of teeth and Dentofacial anomalies.

Craniofacial Anomalies

Principles of craniofacial surgery.

Craniofacial clefts. Tessiers clefts classification.
Craniosynostosis-: syndromic and non syndromic
Hypertelorism,
Craniofacial microsomia.

Uniform curriculum in Plastic Surgery 6

 Craniofacial distraction.
Hemifacial atrophy
Treacher-Collins Syndrome
Pierre Robin sequence.
Other craniofacial syndromes, e.g.- Binders syndrome etc.

Cleft Lip and Palate

Embryology of head and neck.

Embryogenesis of cleft lip and palate.
History and evolution of techniques in Cleft surgery.
Classification of Clefts
Unilateral Cleft lip
Bilateral Cleft lip
Cleft Palate
Alveolar Clefts
Secondary deformity correction in clefts
Management of palatal fistula
Flaps in clefts- Abbe flap, Tongue flap, buccal flaps, free flaps etc.
Cleft nose correction
Midface skeletal evaluation and corrections.
Orthognathic surgery/ distraction in Clefts.
Velopharyngeal incompetence.
Orthodontics, speech therapy in cleft lip and palate.

Maxillofacial trauma:

Dentofacial anatomy, occlusions, various terminologies.

Evaluation of injuries, imaging, principles of treatment.
Management of Airway and acute care
Soft tissue injuries and management- Repair of various specific areas: Eyelids, ear,
nose, lips etc.
Restoration of anatomical subunits of face.
Skeletal Fractures Midface: maxilla, zygoma, orbit, mandible. Naso-ethmoid
Naso-Orbito-Ethmoid injuries
Nasal bone fractures.
Frontal bone fractures.
Management of Panfacial injuries

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 Fracture reduction and different modalities of skeletal stabilization; AO principles.
Osteosynthesis, Plate fixation principles and techniques
Maxillo-mandibular fixation techniques: Arch bar , dental wiring, cranio maxillary fixations
Avulsion injuries of face
Gunshot injuries of face.
Paediatric Facial fractures
Treatment of Secondary deformities.

Maxillofacial disorders

Temporo Mandibular joint: Ankylosis, Hypermobility

Temporomandibular joint pain, dysfunctions.
T. M Joint Reconstruction.
Obstructive sleep apnea Evaluation, planning and management
Obstructive sleep apnea Surgical treatment: Genioglossus advancement, hyoid
suspension, Maxillo mandibular advancements etc.
Head and neck infections, space infections.
Ludwigs Angina management
Distraction osteogenesis- maxilla, mandibular deficiencies.
Principles of osteointegration and Implantology
Craniofacial and Maxillofacial Prosthetics

Head and Neck Reconstruction:

Includes various congenital deformities, defects , post oncological resection defects etc.

Reconstruction of Scalp and the face

Reconstruction of the Nose defects, deformities
Reconstruction of external ear. (Congenital, Post-traumatic, as well as Aesthetic
Otoplasty or ear reshaping)
Reconstruction of the Lip
Mid face, maxilla defect classification, reconstruction options including free flaps
Oral cavity, tongue reconstruction
Mandibular reconstruction.
Congenital deformities of face and jaw bone, Fibrous dysplasia, Rombergs disease,
hemifacial atrophy, microsomia etc.

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 Flaps for facial reconstruction
Facial paralysis.
Leprosy deformities of face and corrections.
Corrective Rhinoplasty.
Skull Base Surgery- principles
Management of vascular lesions of head and neck

Orthognathic surgery:
Dentofacial anomalies and occlusal disturbances
Evaluation-OPG, Cephalograms, CT imaging
Planning of treatment preparation of splints, models, mock surgery
Pre and post surgical orthodontics- principles
Mandibular osteotomies- Sagittal split osteotomies, BSSO, Genioplasty etc.
Maxillary osteotomies- LeFort , segmental maxillary osteotomy etc.
Bi maxillary (double jaw procedures) osteotomies.
Access osteotomies to skull base surgery.

Tumours of Head and Neck and Skin

Vasoformative lesions of the skin and adenexa.

Malignant and benign tumours of head and neck.
Tumors of oral cavity, oropharynx and Mandible.
Jaw tumors, lesions and cyst.
Cancer of upper Aerodigestive system- Principles of management for reconstruction
Resection of tumour and Reconstruction of mandible, maxilla and facial hard and soft
tissue.
Tumours of skin-benign and malignant; resection and reconstructions

Oculoplastic Surgery

Reconstruction of eyelids, upper , lower, total.

Ptosis evaluation and correction
Reconstruction of orbital socket
Prosthetic rehabilitation

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Aesthetic Surgery and Medicine

Safety in cosmetic surgery and patient evaluation.

Anatomy of ageing skin
Non surgical procedures
Aesthetic Medicine
Facial rejuvenation techniques
Soft tissue fillers
Botulinum toxin
Chemical peeling and dermabrasion.
Blepharoplasty.
Face lift- non surgical and various surgical techniques.
Laser therapy- and various applications.
Aesthetic and functional Rhinoplasty- open, closed.
Skeletal augmentation: e.g.- chin, angle, midface etc.
Hair restoration- Various techniques of FUE, FUT etc.
Autologous fat grafting
Liposuction
Abdominoplasty, Lipoabdomenoplasty.
Body contouring procedures
Post Bariatric reconstruction
Body lifts, limb contouring procedures.
Buttock augmentation, Calf augmentation, Pectoral augmentation
Aesthetic genital surgery-male and female.

Breast:

Breast cancer and various mastectomy overview.

Approach to breast reconstruction- options.
Breast reconstruction- Different surgical techniques and free flaps.
Congenital anomalies of breast correction
Polands syndrome
Fat grafting and contouring.
Reduction mammoplasty- various techniques
Mastopexy.
Augmentation mammoplasty
Revision surgeries in breast.
Corrections of gynecomastia.

Uniform curriculum in Plastic Surgery 10

Lower Extremity

Functional anatomy of lower extremity

Lower extremity trauma management.
Principles and techniques of fracture management of lower limb.
Post traumatic soft tissue defect reconstruction.
Skeletal defectsreconstruction of the lower extremity
Reconstruction of soft tissue sarcoma and excisional defects.
Reconstruction of foot defects
Skeletal fixation of foot fractures
Diabetic and neuropathic foot management and reconstruction
Non traumatic deformity lower extremity
Acquired deformities of the foot and corrections.
Various post burn deformities.
Congenital foot deformity
Lymphedema.
Leprosy deformities of leg and foot.
Nerve entrapment in lower extremity

Trunk/ chest

Chest wall reconstruction

Sternal reconstruction
Abdominal wall reconstruction
Management of incisional hernia.
Pressure (decubitus) ulcers

Genito Urinary, external genitalia, intersex.

Embryology and anatomy of the male and female external genitalia.

Hypospadias.
Epispadias and ectopic vesicae.
Reconstruction of external genitalia.
Vaginal atresia, malformations.
Vaginoplasty, Cliteroplasty
Transsexualism (intersex).

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 Gender reassignment procedures.
Aesthetic external genital procedures

Hand and upper extremity:

Embryology of upper extremity.

Functional anatomy of hand.
Examination of hand.
General principles of hand surgery.

Congenital Hand

Embryology and classification

Congenital anomalies of hand, finger, thumb.
Anomalies of forearm, upper limb: e.g. radial club hand
Vascular anomalies.
Various corrective procedures for congenital hand.
Pollicisation.
Thumb reconstruction- Various techniques
Innervated flaps.
Toe transfers

Hand Trauma

Treatment of acute hand injuries.

Fingertip injuries.
Flexor tendon injuries.
Extensor tendon injuries.
Principles of reconstruction in mutilating hand injuries.
Fractures and dislocation of hand metacarpal, phalanges and wrist.
Treatment principles, options, technique for hand fractures
Soft tissue cover for hand, fingers, thumb.
Nail injuries, grafting.
Vascular injuries and repairs
Nerve injuries and repairs
Replantation of amputations of digits, wrist, and proximal levels.
Reconstruction of thumb loss
Tendon transfers

Uniform curriculum in Plastic Surgery 12

 Burn Hand

Non traumatic Hand conditions:

Vascular anomalies of upper extremity.

Lymphedema in upper extremity.
Ischaemic conditions of upper extremity.
Vasospastic disorders of hands.
Nerve compression syndromes.
Surgery for spastic and tetraplegic hand.
Problems of small joints.
Dupuytrens disease.
Principles and treatment of old and neglected hand deformities.
Rheumatoid arthritis of hand. (Reconstructive procedures)
Benign and malignant tumours of hand.
Hand infections.

Rehabilitation

Physical therapy, electro therapy.

Hand functional outcome evaluation
Rehabilitation of hand, prosthesis.
Hand Transplantation

Brachial plexus and Peripheral nerve surgery

Patho-physiology and classification of nerve injuries

Principles of nerve repair
Peripheral nerve reconstructions
Distal nerve transfers in nerve injuries
Electrodiagnostic tests and interpretations
Brachial plexus injury(BPI): Principles of management.
Nerve grafting, neurotizations, distal nerve transfers in BPI
Secondary surgeries in BPI
Free functioning muscle transfer
Obstetrical Brachial Plexus Injuries Primary management and secondary procedures.
Tendon transfers for nerve injury.

Uniform curriculum in Plastic Surgery 13

 Nerve entrapments, e.g- carpal tunnel syndromeetc.
Leprosy deformity of hand and corrections.
Assessment of nerve recovery, functional results.

Microvascular surgery

Principles of microsurgery and its applications in plastic surgery.

Basic techniques; instrumentation; operative microscopes
Replantation and revascularisation surgery.
Microvascular tissue transfers.
Free Functioning muscle transfer
Micro neural repair
Tubal recanalization.
Other applications of magnification

Vascular surgery

Repair and reconstruction of vascular injuries of extremity and other parts

Reconstruction of ischaemic limb
Reconstruction of Femoral, axillary vessels.
Various grafts, synthetic , prosthetic grafts
Vascular access (Artero venous fistula) to Chronic renal diseases
Varicose vein management
Peripheral vascular aneurysms

Burns

Pathophysiology of burns and acute management

Thermal burns.
Electrical burns.
Chemical burns.
Radiation burns.
Burns of special areas: Facial , genital, hand burns.
Surgeries for burns-Early excision late debrima and grafting
Burn wound infection, sepsis.
Nutrition in burns.
Prognostic factors
Reconstruction of acute burns, including electrical burns.

Uniform curriculum in Plastic Surgery 14

 Skin substitutes
Skin donation and banking
Advances in management of burns
Post burn contractures treatment of sequelae.
Psychological management of burn patients
Rehabilitation of burn patients.
Prevention and first aid.
Principles of planning in event of burn disaster.
Organization of Burns Unit.

--------------------------------------------------------------------------------------------------

2. Skill Development- Clinical

1. History, examination and documentation

2. Detailed physical examination should include general examination and systemic
3. Skills in writing up notes, maintaining problem oriented records, progress notes,
andpresentation of cases during ward rounds, planning investigations and making
atreatment plan .
4. The resident should able to analyze history and correlate it with clinical findings.
5. General, Physical and specific examinations of Maxillofacial & Hand, aesthetic face etc.
6. Evaluation of the defect,
7. Evaluation of multiple options for the treatment.
8. Discussion on the pros/cons of each.
9. Concept of reconstructivetriangle
10. Planning in reverse of flap cover.
11. Should be well versed with all radiological procedures like CT Angio, CTFace with 3D
Reconstruction, MRI, DSA and X-Ray of face.
12. Able to manage critical patients of trauma, burns and develop management skills, fluid
balance, and choice ofdrugs.
13. Be able to clinically analyze the patient & decide for pertinent Investigationsrequired for
specific patient.

Uniform curriculum in Plastic Surgery 15

 3. Skill Development- Operative
Operative skills in the various core specialities are developed by observing, assisting seniors,
performing under supervision and performing procedures independently.
Cadaveric dissection: Basic operative skills of procedures are developed with periodic cadaver
dissections supervised by the faculty members.
Independently performed surgical procedures under supervision include:
1. Debridement
2. Burn wound excision
3. Contracture release.
4. Skin grafting-STSG/FTSG
5. Local flaps
6. Z- Plasty
7. Pedicled/ fasciocutaneous flap/ free flaps
8. Finger tip injury flaps
9. Hand fracture fixation
10. Tendon repair
11. Nerve injury repair
12. Vascular injury repair
13. Arch bar fixation& intermaxillary fixation
14. Mandible fracture fixation
15. Mid face fracture fixation
16. Closed reduction of Nasal bone, zygoma fractures
17. Repair of Eyelid, Ear
18. Ear lobule repairs
19. Harvest of costal cartilage.
20. Cleft Lip repair
21. Cleft palate repair
22. Excision of benign tumours, lesions.
23. Hair transplant team member
24. Liposuction.
25. Scar revision
26. Harvest of free flap
27. Microanstomosis and microneural repairs.
28. Hypospadias repair
29. Harvest of Bone graft, tendon graft, nerve graft
30. Non surgical aesthetic procedures, fillers, laser etc.

Uniform curriculum in Plastic Surgery 16

 4. Academic activities: Activities of learning& Effective communication

Documentation of each of the below activity is to be maintained in the records of Log book, and
counter signature of teacher/moderator is obtained.

1. Lectures
2. Journal Club
3. Subject Seminar
4. Student Symposium
5. Group discussion
6. Tutorials
7. Ward Rounds
8. Clinico-Pathological Conference
9. Inter Departmental Meetings
10. Teaching activity
11. Continuing Medical Education Programs
12. Conferences/ workshop presentation
13. Rotation and posting in other departments

5. Activities of RESEARCH

1. Research methodology

2. How to write a research paper

3. Biostatistics
4. Blinding in study etc.

5. Ethical issues in research

6. Patient confidentiality

6. Teaching skills

The candidates should be encouraged to teach post graduates of surgery, undergraduate

medical students and paramedical students( if any). This activity is monitored by the faculty
members and considered as an essential skill to acquire so as to qualify as teachers in medical

colleges.

Uniform curriculum in Plastic Surgery 17

 7. Personal attributes

The essential items are:

Caring attitudes
Initiative
Organisational ability
Potential to cope with stressful situations and undertake responsibility
Trustworthiness and reliability
To understand and communicate intelligibly with patients and others
To behave in a manner which establishes professional relationships with patients
and colleagues
Ability to work in a team
A critical inquiring approach to the acquisition of knowledge.
The methods used mainly consist of observation. It is appreciated that these items require a
degree of subjective assessment by the guide, supervisors and peers.

8. Monitoring Learning activity

1. Maintaining Log Book

The log book is a record of the important activities of the candidate during his training.
Internal assessment should be based on the evaluation of the logbook. Collectively,
logbooks are a tool for the evaluation of the training program of the institution by external
agencies. The record includes all academic activities as well as the presentations and
procedures carried out by the candidate.
2. Record of Seminars

3. Record of Journal Club

4. Record of clinical cases

5. Periodic theory and practical examination as per university guidelines; Desirable is once
in every 6 months
6. Leave records
7. Record of research work and progress
8. 6 monthly progress reports evaluated by guide / HOD
9. Assessment and feedback forms of all academic activities: Refer to Annexures:
Annexure-1

Uniform curriculum in Plastic Surgery 18

Format of Model Check Lists

Check List -1. MODEL CHECK-LIST FOR EVALUATION OF JOURNAL REVIEW PRESENTATIONS

Name of the Student: Name of the Faculty/Observer: Date:

Sl. Items for observation during presentation Poor Below Average Good Very
No. Average Good
0 1 2 3 4

Article chosen was

Extent of understanding of scope & objectives of the

paper by the candidate

Whether cross references have been consulted

Whether other relevant publications consulted

Ability to respond to questions on the paper /

subject

Audio-visual aids used

Ability to defend the paper

Clarity of presentation

Any other observation

Total Score

Annexure-2

Check List - 2. MODEL CHECK-LIST FOR EVALUATION OF SEMINAR

Uniform curriculum in Plastic Surgery 19

 PRESENTATIONS

Name of the Student: Name of the Faculty/Observer: Date:

Poor Below Average Good Very

Sl. Items for observation during presentation
Average Good
No.
0 1 2 3 4

Whether other relevant publications consulted

Whether cross references have been

consulted

Completeness of Preparation

Clarity of Presentation

Understanding of subject

Ability to answer questions

Time scheduling

Appropriate use of Audio-Visual aids

Overall Performance

Any other observation

Total Score

Uniform curriculum in Plastic Surgery 20

 Annexure-3
Check List - 3

MODEL CHECK LIST FOR EVALUATION OF CLINICAL WORK IN WARD / OPD

(To be completed once a month by respective Unit Heads including posting in other departments)

Name of the Student: Name of the Unit Head: Date:

Very
Poor Below Average Good
Sl. Points to be considered: Good
Average
No.
0 1 2 3
4

Regularity of attendance

Punctuality

Interaction with colleagues and

supportive staff

Maintenance of case records

Presentation of cases during rounds

Investigations work up

Beside manners

Rapport with patients

Counseling patient's relatives for blood

donation or PM

Overall quality of Ward work

Total Score

Uniform curriculum in Plastic Surgery 21

 Annexure-3
Check List 4 EVALUATION FORM FOR CLINICAL PRESENTATION

Name of the Student: Name of the Faculty: Date:

Points to be considered Poor Below Average Above Very
Sl. No. Average Average Good
0 1 2 3 4

Completeness of history

Whether all relevant points elicited

Clarity of Presentation

Logical order

Mentioned all positive and negative points of

importance

Accuracy of general physical examination

Whether all physical signs elicited correctly

Whether any major signs missed or misinterpreted

Diagnosis:
Whether it follows logically from history and findings
Investigations required
Complete list
10 Relevant order

Interpretation of investigations
Ability to react to questioning
Whether it follows logically from history and findings
Ability to defend diagnosis

The ability to justify differential diagnosis

Others

Grand Total

Uniform curriculum in Plastic Surgery 22

 Annexure-5
Check List - 5

MODEL CHECK LIST FOR EVALUATION OF TEACHING SKILL PRACTICE

Sl.
Strong Point Weak Point
No.
Communication of the purpose of the talk

Evokes audience interest in the subject

The introduction

The sequence of ideas

The use of practical examples and/or illustrations

Speaking style (enjoyable, monotonous, etc., specify)

Attempts audience participation

Summary of the main points at the end

Asks questions

Answers questions asked by the audience

Rapport of speakingto his audience

Effectiveness of the talk

Uses AV aids appropriately

Uniform curriculum in Plastic Surgery 23

 Annexure-6
LOG BOOK

Table 1 : Academic activities attended

Name: Admission Year:

College:

Type of Activity
Date Specify Seminar, Journal Club, Presentation, Particulars
UG teaching

Verified by
Signature and Name of the faculty

Uniform curriculum in Plastic Surgery 24

LOG BOOK

Table 2 : Academic presentations made by the student

Name: Admission Year:

College:

Type of Presentation
Date Topic Specify Seminar, Journal Club,
Presentation, UG teaching etc.

Verified by
Signature and Name of the faculty

Uniform curriculum in Plastic Surgery 25

LOG BOOK

Table 3 : Diagnostic and Operative procedures performed

Name: Admission Year:

College:

Date Name ID No. Procedure Category

O, A, PA, PI*

Verified by
Signature and Name of the faculty

* Key: O - Washed up and observed

A - Assisted a more senior Surgeon
PA - Performed procedure under the direct supervision of a senior surgeon
PI - performed independently

Uniform curriculum in Plastic Surgery 26

 Annexure-7
Model Overall Assessment Sheet

Name of the College: Academic Year:

Check Name of Student and Mean Score

List No Particulars
A B C D E F G H I J

1 Journal Review Presentations

II Seminars

III Clinical work in wards

IV Clinical presentation

V Teaching skill practice

Total Score

Note: Use separate sheet for each year.

Signature and name of verifying faculty

Uniform curriculum in Plastic Surgery 27

 M.Ch./ D.N.B. Exit Exam

The Eligibility: The following requirements should be fulfilled by every candidate to become
eligible to appear for the final examination.

Attendance, Progress and Conduct: Every student shall attend symposia, seminars,
conferences, journal review meetings, grand rounds, CPC, Case presentation, clinics and
lectures during each year as prescribed by the department and not absent himself/herself from
work without valid reasons.

Every candidate shall maintain a work diary and Log Book for recording his/her participation in
the training programs conducted by the department, such as journal reviews, seminars, etc.
Special mention may be made of the presentations by the candidate as well as details of clinical
or laboratory procedures, if any conducted by the Head of the department and Head of the
Institution and among other things forms the basis for certifying satisfactory progress. The Log
Book if demanded be presented in the University clinical or viva-voce examination.

Every candidate should have fulfilled the minimum attendance requirement prescribed by the
Medical Council of India and respective University (80% of the training during each academic
year of the postgraduate course. Provided further, leave of any kind shall not be counted as
part of the academic term without prejudice to minimum 80 % attendance of training period
every year).

Thesis/ Dessertation:
Should have completed Thesis/ dissertation work and duly submitted to the university as per
respective university guidelines

Scientific Presentation:
It is mandatory that. the candidate shall have presented a minimum of one podium presentation
in a National / State conference of Plastic Surgery speciality.

Uniform curriculum in Plastic Surgery 28

Scientific Publication:
It is desirable that, the candidate shall have published/accepted for publication a minimum of
one scientific publication such as oiriginal articles, review article, case reports , brief
communications etc. as an author or co-authour in indexed journal.

Scheme of Examination

The examination shall consist of:

1. Written papers (theory),
2. Clinical/practical examination and
3. Viva-voce.

1. Written Examination (Theory): Written examination shall consist of four question papers,
each of three hours duration. Each paper shall carry 100 marks. Basic medical sciences
and recent advances may be asked in any or all the papers.

The distribution of topics in the four question papers shall be:

Paper I Basic Sciences and General aspects of Plastic & Reconstructive Surgery
Paper II Reconstructive Surgery including Craniofacial, Hand, Flaps
Paper III Reconstructive Surgery including Burns, Urogentital, Trunk, Nerve, lower
extremity
Paper IV Specialty in Plastic & Reconstructive Surgery: Newer advances, Aesthetic
surgery,

Note: The distribution of topics shown against the papers is suggestive only.

Pattern and distribution of marks:

It is desirable to follow a uniform patternfor theory examination question papers. To cover

maximum areas of speciality, each question paper shall consist of 10 short notes of 10 marks
each. The number of short notes and their respective marks weightage may vary in some
subjects/some papers. The maximum time permitted is 3 hours for each question paper and

Uniform curriculum in Plastic Surgery 29

Max. marks for each question paper shall be 100. Questions should include clinical scenario as
well and instructions for appropriate illustrations.

Clinical/practical Examination: It should aim at examining clinical skills and competence of

candidates for undertaking independent work as a specialist. Each candidate should examine
at least one long case and four short cases. The total marks for clinical examination shall be
200.

Viva Voce: Viva Voce Examination shall aim at assessing depth of knowledge, logical
reasoning, confidence and oral communication skills. The total marks shall be 100.

M.Ch. Theory Clinical/Practical Viva-voce Grand Total

Plastic,Reconstructive& 400 200 100 700
Aesthetic Surgery
Note:Current D.N.B. Plastic surgery examination pattern include: Theory 300 marks with 3
papers of three hours each and practical/viva voce 300 marks.

The number of examiners (internal/external) and the number of candidates per day shall be as
per respective university guidelines.

Uniform curriculum in Plastic Surgery 30